A survey study of 2001 female students at ANNU university found that the risk of having disordered eating attitudes was higher in:
- Students with higher body weight
- Younger female students than older students
- Students in non-scientific fields more than scientific fields.
The document recommends developing and distributing programs to combat the influence of media on female university students' body image.
2. Survey study on 2001 female students at ANNU
Risk of having disordered eating attitudes:
• Higher the body weight
• Younger females students than older students.
• Students in non-scientific fields more than those in scientific
fields.
To combat the influence of media on female university students,
need to be developed and distributed
Disordered eating attitudes in female students of An-Najah
National University
3.
4. Case
20 years old female medical student presents with abd pain &
hair loss, after careful questioning you find she uses Senna
herbs on daily basis .
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6. • Body image refers to how people see
themselves when they look in a mirror
• People can have a positive or negative body
image of themselves
7. • A positive body image is when people accept
themselves regardless of body weight or shape
• A negative body image is when people feel that
they need to improve their bodies because they are
unhappy with the way their bodies look.
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11.
12.
13.
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15.
16.
17. Eating disorders have increased threefold in the last 50 years
10% of the population is afflicted with an eating disorder
90% of the cases are young women and adolescent girls
Up to 21% of college women show sub-threshold symptoms
61% of college women show some sort of eating
pathology
18.
19. Anorexia nervosa- characterized by a pursuit of
thinness that leads to self-starvation
Bulimia nervosa- characterized by a cycle of
bingeing followed by extreme behaviors to prevent
weight gain, such as purging.
Binge-eating disorder- characterized by regular
bingeing, but do not engage in purging behaviors.
DSM 5 for each ……
20.
21. • Begins with individuals restricting certain foods, not unlike someone
who is dieting
• Restrict high-fat foods first
• Food intake becomes severely limited
• May exhibit unusual behaviors with regards to food.
• preoccupied with thoughts of food, and may show obsessive-
compulsive tendencies related to food
• may adopt ritualistic behaviors at mealtime.
• may collect recipes or prepare
22. • Qualitatively distinct from anorexia characterized by binge
eating
• A binge may or may not be planned
• marked by a feeling of being out of control
• The binge generally lasts until the individual is uncomfortably
or painfully full
• feelings related to weight, body shape, and food are common
triggers to binge eating
• Common triggers for a binge dysphoric mood
• interpersonal stressors Intense hunger after a period of intense
dieting or fasting
23. • Feelings of being ashamed after a binge are common
• behavior is kept a secret
• Tend to adhere to a pattern of restricted caloric intake
• Usually prefer low-calorie foods during times between binges
• Are able to maintain a normal weight
• Will not seek treatment until they are ready
• Most deal with the burden of hiding their problem for many
years, sometimes well into their 30’s
24. purging type
self-induced vomiting and laxatives as a way to get rid
of the extra calories they have taken in
non-purging type
use a period of fasting and excessive exercise to make
up for the binge
25.
26.
27. Case
16 years old athletic boy present with his mother because of 10 kg
weight loss in 20 days on careful questioning you learn he wants to
keep his wt below 50 kg .
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30.
31. Prevalence of obesity and overweight are high compared
with other nations, such as Tunisia
• especially among adults and people with NCDs
• Children: obesity 6% (range 4−10%)
overweight15% (13−17%)
The Lancet Volume 393, Supplement 1, March 2019, Page S20
Similar to bulimia, however there is no purging, fasting, or excessive dieting to compensate for the binges
Some may eat continuously throughout the day
Some binge on large amounts of food at once
Relieve feelings of stress, anxiety, or depression
Not officially recognized in the DSM
Significantly overweight
History of family obesity
Frequent dieting
30% of individuals in weight loss programs could be diagnosed with this disorder
dropping below the 85th percentile of what is considered to be normal for a particular age and height
limited to only a few select food items
People starve themselves, subsisting on little or no food for very long periods of time
The fear of gaining weight or becoming fat is extremely intense
Rather than lessening as weight drops, this fear usually worsens
Perceived body weight and body shape are severely distorted
Even when drastically underweight most individuals with this disorder will see themselves as being overweight
Wide rage of caloric intake- what constitutes a binge is not caloric intake, but feelings of being out of control- such as eating one cookie, or one doughnut
may consume 2,000-10,000 calories in a single day, and will usually prefer high-calorie foods such as sweets and fast food
People with Bulimia do not tend to show the gross distortions (delusions) in their body image as people with anorexic do